Vignette Analysis

Psychology

Vignette Analysis
This assignment focuses on vignette analysis and direct application of course concepts to the persons and situations presented in the vignette for each question. All discussions must take into account the legal and ethical considerations, as well as issues of culture and human diversity that may pertain to the situations presented below.

Session One
Roger is a 19 year old young man born and raised in Arkansas. He is brought into treatment by his parents. The parents are present in the initial interview session. Mother tells you that Roger, “is no longer the sweet gentle boy I raised.? Roger?s father is a minister and tells you that he had always hoped that Roger would one day follow in his footsteps and join him in ministry. The parents tell you that over the last year, Roger has had some very odd behavior. They often find him sitting alone in his room having dialogues with people. When they approach him, Roger tells them to be quiet or they will disturb his ability to talk to the other side. The parents believe that Roger is using drugs and feel this is behind his bizarre behavior. Though Roger has few friends, the parents feel that the ones he does have ?are just weird and dress funny.? In taking a family history, you discover that Roger?s maternal grandmother was institutionalized, but his mother cannot tell you why as it was ?hush hush? in her family and no one was allowed to mention it.

1. Formulate a Differential Diagnosis for Roger. What are your diagnostic considerations and why? Support your ideas by discussing what you see in the vignette utilizing all course readings thus far. What information would you need to look for to confirm your diagnostic impression and why?

2. In considering the biopsychosocial view of Schizophrenia outlined by Comer (2013), and potential substance abuse, create a treatment plan for Roger? Integrate a discussion of which model of treatment you might use in the treatment of Schizophrenia from Chapter 15.

Session Two
In this second session, you meet with Roger alone. He looks at you with a blank stare and frozen smile. His eyes are glassy and his pupils are fixed. He tells you that his parents are just old style folks that don?t understand his special gift. Roger believes that he has contact with other dimensions of reality and has visited himself in past lives. He thinks he has met you before but not in this century. Roger thinks he has met you during the reign of Julius Cesar. He wishes he could stay in that era where he was free to practice sexual difference without being condemned by God.

1. What diagnostic issues arise during your second session with Roger? What assessment and intervention techniques might you consider for him at this point in treatment? What referrals might you consider making for Roger and why?”

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